Medical Journal of The Islamic Republic of Iran (MJIRI)
Iran University of Medical Sciences
Sun, May 19, 2024
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Volume 37, Issue 1 (2-2023)
Med J Islam Repub Iran 2023 |
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Moradi Moghaddam O, Keshtkar A, Sedighi M, Amanollahi A, Aghakhani K, Niakan Lahiji M. Investigating Causes of Medical Errors in Intensive Care Units in Iran: A Cross-sectional Study. Med J Islam Repub Iran 2023; 37 (1) :632-636
URL: http://mjiri.iums.ac.ir/article-1-8458-en.html
URL: http://mjiri.iums.ac.ir/article-1-8458-en.html
Omid Moradi Moghaddam 
, Ahmad Keshtkar , Mohsen Sedighi , Alireza Amanollahi , Kamran Aghakhani , Mohammad Niakan Lahiji
, Ahmad Keshtkar , Mohsen Sedighi , Alireza Amanollahi , Kamran Aghakhani , Mohammad Niakan Lahiji
Trauma and Injury Research Center, & Department of Anesthesiology and Critical Care, School of Medicine, Iran University of Medical Sciences, Tehran, Iran , niyakanlahiji.m@iums.ac.ir
Abstract: (372 Views)
Background: Medical errors cause disability and mortality in intensive care units (ICUs). We aimed to determine the occurrence and causes of medical errors in the ICUs of Iran.
Methods: In this cross-sectional study, data from the family complaint files referred to The disciplinary authority of Iran Medical Council was retrospectively reviewed to explore the causes of medical errors. Statistical analysis was performed in SPSS Version 26.0.
Results: A total of 293 complaint files were referred to the disciplinary commission from 2014
to 2019, of which 95 files were related to medical errors in ICUs. The median age of patients was 62 years (46-74 years) and 52 (54.7%) patients were men. Also, 37 (38.9%) patients had decreased levels of consciousness and 42 (42.2%) patients had cardiovascular disease. A total of 40 (42.1%) patients experienced a single medical error and 55 (57.9%) patients experienced more than 1. Causes of medical errors in patients were physician's or nurse’s negligence in 53 (55.8%) patients, weak interaction of physician and nurse with the patient and family members in 11 (11.6%) patients, weak interprofessional interaction among physicians in 7 (7.4%) patients, equipment and structure of ICUs in 7 (7.4 patients, nature of ICUs and patients in 6 (6.3%) patients, weak physician-nurse interprofessional interaction in 5 (5.2%) patients) patients, low attention of the physician and the nurse to medication safety in 6 (6.3%) patients.
Conclusion: Patient safety is impacted by a variety of medical mistakes. Interprofessional
strategies can be developed and put into action to mitigate medical errors in ICUs.
Methods: In this cross-sectional study, data from the family complaint files referred to The disciplinary authority of Iran Medical Council was retrospectively reviewed to explore the causes of medical errors. Statistical analysis was performed in SPSS Version 26.0.
Results: A total of 293 complaint files were referred to the disciplinary commission from 2014
to 2019, of which 95 files were related to medical errors in ICUs. The median age of patients was 62 years (46-74 years) and 52 (54.7%) patients were men. Also, 37 (38.9%) patients had decreased levels of consciousness and 42 (42.2%) patients had cardiovascular disease. A total of 40 (42.1%) patients experienced a single medical error and 55 (57.9%) patients experienced more than 1. Causes of medical errors in patients were physician's or nurse’s negligence in 53 (55.8%) patients, weak interaction of physician and nurse with the patient and family members in 11 (11.6%) patients, weak interprofessional interaction among physicians in 7 (7.4%) patients, equipment and structure of ICUs in 7 (7.4 patients, nature of ICUs and patients in 6 (6.3%) patients, weak physician-nurse interprofessional interaction in 5 (5.2%) patients) patients, low attention of the physician and the nurse to medication safety in 6 (6.3%) patients.
Conclusion: Patient safety is impacted by a variety of medical mistakes. Interprofessional
strategies can be developed and put into action to mitigate medical errors in ICUs.
Type of Study: Original Research: Clinical Science |
Subject:
Legal Medicine
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